Mf be greg Pore Pete ep ene Fo nnd Republic of the Philippines e! Professional Requlation Commission | car%o. eee, Manila coe, ast PROFESSIONAL REGULATORY BOARD OF NURSING RESOLUTION No. 22_ Series 2017 Promulgation of the Philippine Professional Nursing Practice Standards (PPNPS) WHEREAS, Article Ill, Sec. 4 (h) of Republic Act (RA) No. 7164 or the Philippine Nursing Act of 1991 provides for the powers, duties and functions of the Professional Regulatory Board of Nursing (PRBON), which include the power to promulgate decisions or adopt measures as may be necessary for the improvement of the nursing practice and for the advancement of the profession; WHEREAS, in September 1994, the PRBON called for a consultative meeting on Safe Nursing Practice with nursing leaders from the Philippine Nurses Association (PNA), Association of Nursing Service Administrators of the Philippines (ANSAP) and other national nursing organizations and groups. The output of this two (2) ~ day workshop was the draft document on Standards of Safe Nursing Practice. After several meetings and discussions, PRBON Resolution No. 82 was issued which adopted and promulgated the Standards on September 30, 1998; WHEREAS, these initiatives were further strengthened with the passing of R. A. No, 9173 or the Philippine Nursing Act of 2002. Article III, Sec. 9 (c) of this law states that the PRBON shall monitor and enforce quality standards of nursing practice in the Philippines and exercise the powers necessary to ensure the maintenance of efficient, ethical and technical, moral and professional standards in the practice of nursing taking into account the health needs of the nation; WHEREAS, with such new legal mandate, the PRBON assumed the responsibilty of formulating the 2005 Nursing Core Competency Standards which represent the minimum knowledge, skills and attitudes necessary to provide competent, efficient and safe nursing care; WHEREAS, in 2009, the PRBON undertook an extensive and comprehensive review of the 2005 Nursing Core Competency Standards, in collaboration with nursing partners from the service and the academe who are members of various nursing specialty organizations and interest groups, such as the Commission on Higher Education-Technical Committee on Nursing Education (CHED-TCNE), ANSAP, and the UP Manila College of Nursing (UPCN) as. the World Health Organization (WHO) Collaborating Center for Nursing Leadership and Development; WHEREAS, the results of this study led to the formulation of the 2012 National Nursing Core Competency Standards (NNCCS) which defined the three (3) major beginning roles and corresponding responsibilities of the nurse in: (1) Client Care; (2) Leadership and Management and (3) Research; P. PAREDES ST., SAMPALOG, MANILA, PHILIPPINES, 1008 P.O, BOX 2038, MANILAGus a th A fbepuig, GPoouesle Bucy Page 2of 3 Promulgaton of the Phiipine Professional Nursing Practice Standards (PPNPS) WHEREAS, the completion of the NNCCS in June 2012 and its promulgation by the PRBON on July 27, 2012 was very timely as this complemented the implementation of the Philippine Qualifications Framework (PQF) that describes the levels of educational qualifications and sets the standards for qualifications outcomes in knowledge, skills and values. It also complemented the ASEAN Mutual Recognition Arrangement (MRA) on Nursing Services. WHEREAS, the PRBON and its Technical Working Group (TWG) continually worked on the competency standards by refining the set of competencies and the indicators of performance under the four (4) domains: value-based nursing practice; knowledge-driven nursing practice; ‘outcome-oriented professional relationships: and leadership and governance. These domains were identified by the TWG in its process of benchmarking the Philippine nursing standards with those of other countries. The revised document was presented to nursing leaders and other stakeholders in a pubic consultation on July 16, 2015 at St Luke’s Medical Center at Taguig City whereby further inputs and comments were given by the participants; WHEREAS, at the start of year 2017, the core members of the TWG met to revisit the original 2012 NNCCS document. Subcommittees were created corresponding to the four (4) domains of the nursing practice standards to review and discuss the specific outputs of the specialty nursing organizations vis-a-vis the original document. The product of the discussions on the harmonized nursing standards was presented in a public orientation on March 23, 2017 at the PNA Headquarters, WHEREAS, the primary purpose of the standards is to promote, guide, and direct professional nursing practice. Specifically, the Standards will be useful to the following: The Professional Nurses: (1) to have a better understanding of their professional obligations; (2) use the same as basis for their own continuing competence and professional development; (3) advocate for enhancing changes in policies and practice: and (4) define and resolve professional practice issues and concerns. The Employers: to be able to develop systems that support nurses to meet prescribed standards of practice focusing on: (a) developing job descriptions; (b) developing orientation and in-service programs; and (c) creating performance appraisal tool The Nursing Education Leaders: to serve as guide in the development of standards that shall serve as the bases for curriculum development, The Public can be assured of competent, safe, quality nursing care and ethical practice. The PRBON: (1) to be able to use the same as basis in regulating the nursing practice by: (a) using it as framework for the Nurse Licensure Examination (b) recognizing the entry level education program; (c) providing guidance to nurses of their professional obligations; (d) providing a foundation for the assessment of their professional performance: (e) clarifying to the public and other health care professionals what the profession expects of its members; and (f) serving as a basis in addressing incompetent and unethical nursing practicePage 3of 3 Promulgation ofthe Philippine Professional Nursing Practice Standards (PPNPS) WHEREFORE, the PRBON, in light of the foregoing initiatives and advances in the nursing profession, has RESOLVED as it so RESOLVES, to issue and promulgate the Philippine Professional Nursing Practice Standards (PPNPS), which is hereto appended as Annex A. This Resolution and its Annex A shall take effect after fifteen (15) days from publication in the Official Gazette or in any newspaper of general circulation in the county. Let copies hereof be further furnished the U. P. Law Center, Department of Health (DOH), Philippine Nurses Association (PNA), Association of Nursing Service Administrators of the Philippines (ANSAP), Association of Deans and Philippine Colleges of Nursing (ADPCN), the Commission on Higher Education (CHED), and other specialty and nursing interest groups and organizations for information Done this 18tRjay of October 2917 in the City of Manila, ole Sete Chairperson. Moraney ier CORA A. ANONUEVO GLORIA B. ARCOS Member Member FLORENCE © CAWAON CARME Member Member —~“CakeREDDA P. DUMLAO Member Attested: Lap % bd ATTY. LOVELIKA T. BAUTISTA Officer-in-Charge Secretary's Office of the Professional Regulatory Boards Approved: An f TEOFILO S. PILANDO, JR. Chairman (VACANT) Commissioner CommisMoner 0-OCHIO-OCIUPRB.NSGID-LIDD-SPRB TSPYORIGSAERIILTBImilpAnnex A Professional Regulation Commission BOARD OF NURSING THE PHILIPPINE PROFESSIONAL NURSING PRACTICE STANDARDS (PPNPS) INTRODUCTION The Standards of Professional Nursing Practice are authoritative statements of the duties that all registered nurses, regardless of role, population or specialty are expected to perform competently (ANA, 2010, p. 2). The ANA further states that the standards can change as the dynamics of professional nursing evolve and that specific clinical circumstances or conditions might affect the application of the standards at any given time. The Registered Nurses Association of British Columbia (2003) and the College of Nurses of Ontario (2002) defined nursing standards as guide to the knowledge, skills, judgment and attitudes that are needed to practice safely. They reflect a desired and achievable level of performance against which actual performance can be compared Development of Nursing Standards in the Philippines Legal Bases The impetus in the development of nursing standards emanated from Article I, Sec. 4 (h) of Republic Act No. 7164 (Philippine Nursing Act of 1991) which ‘enumerated the powers, duties and functions of the Professional Regulatory Board of Nursing (PRBON). Among others, the PRBON shall “Promulgate decisions or adopt measures as may be necessary for the improvement of the nursing practice, for the advancement of the profession.. Thus, in September 1994, the PRBON, then chaired by Aurora S. Yapchiongco, called for a consultative meeting of presidents/representatives of national nursing. associations and concerned groups and individuals on “Safe Nursing Practice.” Thereafter, it organized a two-day workshop, the output of which was incorporated in the document on Standards of Safe Nursing Practice. After several meetings and discussions, BON Resolution No. 82 issued on September 30, 1998, adopted and promulgated the Standards. In 2001, the Association of Nursing Service ‘Administrators of the Philippines (ANSAP], together with the PRBON and the Philippines Nurses Association (PNA), developed the Standards of Nursing Services. This document progressed with its 2008 edition. th op ped Bu gw * gza-These initiatives were further strengthened with the passing of the R.A. 9173 (Philippine Nursing Act of 2002). Article Ill, Sec. 9 (c) of the law states that: “the PRBON is empowered to monitor and enforce quality standards of nursing practice in the Philippines and exercise the powers necessary to ensure the maintenance of efficient, ethical, and technical, moral and professional standards in the practice of nursing taking into account the health needs of the nation.” Core Competency Standards of Nursing Practice With the legal mandate, the PRBON assumed the responsibility in the improvement and effective implementation of the core competency standards of nursing practice in the Philippines which represent the imum knowledge, skills and attitudes necessary to provide competent, efficient and safe nursing care, and maintain the integrity of the nursing profession. The 2005 Standards identified four major competencies of a beginning nurse: {1) Patient Care Competencies; (2) Empowering Competencies; (3) Enhancing Competencies; and (4) Enabling Competencies. Under each competency were key areas of responsibility. Then in 2009, the PRBON undertook an extensive and comprehensive review of the 2005 nursing core competency standards. The Nursing Core Competency Revisiting Project (NCCRP) was a collaborative activity of the PRBON with nursing partners from the service and the academe who are members of various nursing specialty organizations and interest groups, together with the Commission on Higher Education-Technical Committee on Nursing Education (CHED-TCNE), and the UP Manila College of Nursing as the World Health Organization (WHO) Collaborating Center for Nursing Leadership and Development The revisiting process included work setting scenario analysis, benchmarking core competency standards with other countries, field validation studies on the nurses’ roles and responsibilities in the hospitals and community settings, integrative review of output from the validation strategies, presentation of validation analysis, core competency validation, and public consultation. 2012 National Nursing Core Competency Standards (NNCCS) From the results of this extensive study spanning a period of three (3) years, the PRBON came up with 2012 National Nursing Core Competency Standards (NNCCS) which can be applied to the practice of professional nurses and can serve as a guide for nursing specialty practice. Three (3) major roles of nurses have been defined: (1) Beginning Nurses’ Role in Client Care; (2) Beginning Nurses’ Role in Leadership and mn mm pad Meee gee > yeaManagement; and (3) Beginning Nurses’ Role in Research. Under each role are nurses’ responsibilities as presented below. 2012 NATIONAL NURSING CORE COMPETENCY STANDARDS ROLES SNES Beginning 1. Practasnacartance wih gal rcs nd cote of tis inking prea rd Sucsa's professional judgrent 2 Unies the nursing procs inthe iteiscplinay care of ciel that empowers the ens and Role promeles sate quay cae in Client 3. Manis conl, carla up dl ering andrea st. Care 4 Ebses a clare leah wih oleae an cbermanbes be wants ance rigor eal ee services 5, Promelespcessional and personal growth and development Beginning 1 Osvenstas nape adap sisi rode sa gay co Nonse's. 2 Demustales aonb se srg acer 3, Denastles ranayenet letersi sis oder pyar ad srvees ete Role in to specic client groups in the community seting. Leadership 4. Manapes a canine based heath actycanporest ota eat pogtan ra mseg Manage sever ment 5. Demonstrates ably to lead and supervise nursing support staf 6, Utliaes appropnate mechanisms of networking, inkage building and referrals Boginning 1 Eres nrg or heath aed eseach th rut te sein ol an epee Nurse's a Nuse® 2 Eales are shyt gp ne cnt ce te ech 3 Apples the research roessinimronng patent caren partersip wih 2qualy improvement) Research ‘quaity assurance! nursing aut earn. Significance of the 2012 NNCCS ‘The NNCCS serve as a guide for the development of the following: 1. Basic Nursing Education Program in the Philippines through the Commission ‘on Higher Education (CHED). 2. Competency-based test framework as the basis for the development of course syllabi and test questions for “entry level” nursing practice in the Philippine Nursing Licensure Examination; 3. Standards of the Professional Nursing Practice in various settings in the Philippines; 4, National Career Progression Program for nursing practice in the Philippines; and 5. Related evaluation tools in various practice settings in the Philippines. th ne pee hy. 192iThe completion of the National Nursing Core Competency Standards in June 2012 and its promulgation by the PRBON on July 27, 2012 through Resolution No. 24, was very timely as this complemented the implementation of the Philippine Qualifications Framework (POF) that describes the levels of educational qualifications and sets the standards for qualifications outcomes in knowledge, skills and values. It also complemented the ASEAN Mutual Recognition Arrangement (MRA) on Nursing Services. Standards of Professional Nursing Practice Standards of care describe the competencies of the nurse and the indicators of performance. Below is the structure and sequence of formulating the nursing standards. i RESPONSIBILITIES STANDARDS COMPETEN INC RS OF PERFORMANCE The primary purpose of nursing standards is to promote, guide, and direct professional nursing practice. The nursing standards will be used by the individual nurses, the public, the employers, the regulatory boards, the academe and other stakeholders. (College of Nurses of Ontario, 2002; Registered Nurses Association of B.C., 2003). Specifically, The professional nurses can: 1) have a better understanding of their professional obligation; 2) use nursing standards as basis for enhancing their competence and professional development 3) advocate for changes in policies and practice; and 4) define and resolve professional practice issues and concerns. The employers can develop systems that support nurses to meet prescribed standards of practice focusing on 1) developing job descriptions; 2), developing orientation and in-service programs; and Oh Tprnne pen ibang gee * faa.3) creating performance appraisal tool. For Nursing Education Leaders to serve as guide in the setting of nursing curriculum standards, The Public can be assured of competent, safe, quality nursing care and ethical practice. ‘The PRBON can use these as bases for legal responsibility to protect the public by regulating nursing practice by: 1) recognizing the entry level education program; 2), providing guidance to nurses of their professional obligations; 3) providing a foundation for the assessment of their professional performance; 4) clarifying to the public and other health care professionals what the profession expects of its members; and 5) serving as a basis in addressing incompetent and unethical nursing practice. Philippine Professional Nursing Practice Standards (PPNPS) Nursing Practice Standard Domains The PRBON and its Technical Working Group (TWG) continually worked on the competency standards by refining the set of competencies and the indicators of performance using the following four (4) domains: PRS c nto cma Pat cres a hte cused Cire nanan Wena Pate eu ronnie These domains were identified and aptly classified by the TWG in its process of benchmarking the Philippine nursing standards with those of other countries such as the USA, Canada, Australia, UK, Hongkong and Singapore. op Qa pe Fea fuThe revised document was presented to nursing leaders and other stakeholders in a pubic consultation on July 16, 2015 at St Luke's Medical Center, Makati City whereby further inputs and comments were given by the participants. Meanwhile, specialty organizations have begun working on/reviewing their standards specific to their field of nursing practice using the template of the draft “mother” (original) document, the initial outputs of which had been presented to the PRBON for comments and suggestions. At the start of year 2017, the core members of the TWG met to revisit the original 2012 NNCCS document. Subcommittees were created corresponding to the four (4) domains of the nursing practice standards. Each Subcommittee reviewed and discussed the specific outputs of the specialty nursing organizations vis-a-vis the original document. The product of the discussions on the harmonized nursing standards was presented in a public orientation on March 23, 2017 at the Philippine Nurses Association Headquarters. ‘A. VALUE-BASED NURSING PRACTICE STANDARDS Defi Value-Based Nursing Practice is a clinical decision-making process guided by empirical body of knowledge, ethico-moral values and practices, rules and regulations, combined with appropriate competencies in client care reflecting personal and professional values when engaging with others of diverse cultures. ‘A. Value-Based Nursing Practice STANDARD Al. CARE OF CLIENTS Definition